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Abortion-related maternal mortality in the Russian Federation.

https://arctichealth.org/en/permalink/ahliterature177681
Source
Stud Fam Plann. 2004 Sep;35(3):178-88
Publication Type
Article
Date
Sep-2004
Author
Irina Alekseevna Zhirova
Olga Grigorievna Frolova
Tatiana Mikhailovna Astakhova
Evert Ketting
Author Affiliation
Medicosocial Studies and Problem-analysis Department, Russian Academy of Medical Sciences, Moscow.
Source
Stud Fam Plann. 2004 Sep;35(3):178-88
Date
Sep-2004
Language
English
Publication Type
Article
Keywords
Abortion, Induced - statistics & numerical data
Adult
Cause of Death
Female
Gestational Age
Humans
Maternal Mortality - trends
Pregnancy
Russia
Abstract
This study examines characteristics and determinants of maternal mortality associated with induced and spontaneous abortion in the Russian Federation. In addition to national statistical data, the study uses the original medical files of 113 women, representing 74 percent of all women known to have died after undergoing an abortion in 1999. The number of abortions and abortion-related maternal deaths fell fairly steadily during the 1991-2000 decade to levels of 56 percent and 52 percent of the 1991 base, respectively. Regional and urban-rural variation is limited. Nine percent of abortion-related maternal mortality is due to spontaneous abortion; 24 percent is related to induced abortions performed inside and 67 percent to those performed outside a medical institution. In the latter group, older women, usually with a history of several pregnancies, are overrepresented. The high rate of abortion-related maternal mortality is due largely to the number of abortions performed at 13-21 weeks' and 22-27 weeks' gestation both inside and outside medical institutions. Improving access to safe second-trimester abortion, preventing delays during the abortion procedure, and adequate treatment of complications are key strategies for reducing abortion-related maternal mortality.
PubMed ID
15511061 View in PubMed
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